MR. KEVIN AMBURGO GONZALES PT
NPI 1508685819
Physical Therapist in Freeport, NY

Active since October 04, 2024
73 GUY LOMBARDO AVENUE IMSK & SPINE GROUP, FREEPORT, NY 11520(516) 888-3625 Get Directions Write a Review

NPPES record last updated: March 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 30, 2026, Oct 4, 2024 (2 updates tracked since 2024).

About Mr. Kevin Amburgo Gonzales Pt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN AMBURGO GONZALES PT (NPI 1508685819) is an individual physical therapist in Freeport, New York, licensed in New York (052698) and active in the NPI registry since October 2024. He is a graduate of Other (2015).

NPPES Registry Identity

NPI1508685819
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameMR. KEVIN AMBURGO GONZALESCredential: PT
Location Address73 GUY LOMBARDO AVENUE IMSK & SPINE GROUPFreeport, NY 11520
Mailing Address73 Guy Lombardo Avenue Imsk & Spine GroupFreeport, NY 11520 · (516) 888-3625
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateOctober 4, 2024
Last NPPES UpdateMarch 30, 20262 updates tracked since enumeration
NPPES CertifiedMarch 30, 2026
NPI 1508685819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in NY · 052698
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
73 GUY LOMBARDO AVENUE IMSK & SPINE GROUP, Freeport, NY 11520

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Kevin Amburgo Gonzales Pt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8022591130
PECOS Enrollment IDI20260317000494

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Gonzales's NPI number?

The NPI number for Kevin Gonzales is 1508685819. It was assigned to this individual provider in the NPPES registry on October 4, 2024.

Where is Kevin Gonzales located?

Kevin Gonzales practices at 73 Guy Lombardo Avenue Imsk & Spine Group, Freeport, NY 11520. The listed phone number is (516) 888-3625.

What is Kevin Gonzales's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Kevin Gonzales enrolled in Medicare?

Yes. Kevin Gonzales is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Gonzales was last updated on March 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.